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In fact, CMS’s choice to modify its initial ACO proposal to eliminate a lot of the monetary risk, after providers complained that it was too nice for the potential return, has already increased the likelihood that the ACO demonstrations also will result in greater Medicare spending.

three. The Congressional Funds Workplace estimated in March that, partly attributable to different cuts to Medicare in the health-care regulation, spending will likely be throughout the ACA’s targets for the next 10 years, thereby eliminating the need for the IPAB to make any suggestions in any respect.